| Alamo Navajo School Board, Inc. | |
|
Milepost 29, Highway 169 Alamo NM 87825 | |
| (575) 854-2626 | |
| (575) 854-2528 |
| Full Name | Alamo Navajo School Board, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | Milepost 29, Highway 169, Alamo, New Mexico |
| Authorized Official Name and Position | Clora Phyllis Collins (HEALTH SERVICES DIRE) |
| Authorized Official Contact | 5758542626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamo Navajo School Board, Inc. Po Box 5907 Alamo NM 87825 Ph: (575) 854-2626 | Alamo Navajo School Board, Inc. Milepost 29, Highway 169 Alamo NM 87825 Ph: (575) 854-2626 |
| NPI Number | 1861412777 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 1850589284 |
|---|---|
| Medicare Enrollment ID | O20101229000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861412777 | NPI | - | NPPES |
| J6136 | Medicaid | NM | |
| B5467 | Other | NM | NM DRUG NUMBER |
| 3210298 | Other | NM | NABP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | J6136 (New Mexico) | Primary |